Often uncontrolled eyelid jumps are not "simple", and vigilance is made of facial muscle spasms

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Eyelid jumping is very common in daily life, and many people do not care. In fact, some eyelid jumps are not caused by improper rest, but spasm of facial muscles. Recently, the right eyelid is always involuntarily beating aunt Zhang for a year, finally can not bear to go to the hospital for medical treatment, according to her introduction, her eyelid jump began to jump only occasionally a few times, but gradually, the eyelid beat frequency is getting higher and higher, the amplitude is also getting larger and larger, and even the corners of the mouth will twitch. Upon examination, the doctor judged it to be a spasm of the facial muscles.

"Facial muscle spasms are one or both side beats that cannot be controlled by the autonomic consciousness, and this beating occurs mostly on one side. Occurs from the patient's lower eyelid or corner of the eye and gradually radiates to the entire face, causing latissimus cervical twitching as the condition progresses. Liu Ruen, chief physician of the Department of Neurosurgery of Peking University People's Hospital, introduced that for patients with bilateral side diseases, convulsions do not occur at the same time, usually manifested as convulsions on one side for a period of time, and the other side begins to convulse.

Liu Ruen believes that blood vessel compression to the root of the facial nerve is the root cause of facial muscle spasm. In addition, tumor compression, adhesions of the arachnoid membrane, etc. may be causative factors. "Whatever the cause, the root cause is that it affects the arteries, and the arterial pulsation that compresses the root of the facial nerve is the root cause of the facial muscle spasm."

Fatigue, staying up late, long-term insomnia, excessive mental stress, using electronic products for too long, drinking alcohol, etc. may all be predisposing factors for facial muscle spasm. Liu Ruen reminded that many patients with facial muscle spasm will feel that the spasm is reduced when drinking, in fact, this is only temporary, drinking can be regarded as a temporary anesthesia, after drinking, the spasm will be heavier than before.

How to distinguish facial muscle spasm from ordinary eyelid jumping? Liu Ruen said that in daily life, people often confuse ordinary eyelid jumping, facial muscle spasm, and eyebrow syndrome, in fact, these three conditions are easy to judge.

"Ordinary eyelid jumping is usually related to mental stress, nervousness, fatigue, insomnia, this beating is usually manifested as one side of the upper eyelid beating, this beating does not occur frequently; if it is manifested as a beating of the lower eyelid or the corner of the eye, and often appears, this beating of the autonomous will can not be controlled when you should be vigilant whether it is a facial muscle spasm." In addition, if there is frequent bilateral upper eyelid jumping, accompanied by symptoms such as dry eyes, photophobia, and facial twitching, it may be eyebrow syndrome.

In terms of treatment, Liu Ruen suggested that patients with excessive mental stress should first adjust their living conditions, rest appropriately, and adjust sleep; if the patient is diagnosed with facial muscle spasm, before participating in activities and communicating with people, relevant control drugs can be taken in advance, such as carbamazepine, and tranquilizer; patients with severe convulsions can be temporarily controlled by injecting botulinum toxin.

"Radical treatment of facial muscle spasms requires surgery." Liu Ruen said that the common clinical method is microvascular decompression minimally invasive technology, although the operation is minimally invasive, but the operation is carried out in the brain cadre position, there is a certain risk, it is recommended that patients choose professional hospitals and doctors.

Beijing News reporter Zhang Zhaohui

Proofreading Liu Baoqing